News / Health

Tuberculosis 'Time Bomb' Costs Europe Billions Annually

Belarusians queue for X-rays to detect tuberculosis during Belarusian Red Cross screening, Minsk, Jan. 29, 2013.
Belarusians queue for X-rays to detect tuberculosis during Belarusian Red Cross screening, Minsk, Jan. 29, 2013.
Reuters
Europe is facing a multi-billion-euro time bomb of rising costs to control tuberculosis (TB) as drug-resistant forms of the lung disease spread, a pioneering study found.
 
Often thought of as a disease of the past or one restricted to marginalized communities, TB is already inflicting annual direct costs of more than 500 million euros on the region and another 5.3 billion euros in productivity losses.
 
The study, by health economists based in Germany, also suggests the economic burden of TB far outweighs the likely costs of investing in much-needed research to develop more effective medicines and vaccines — something they said governments and the drug industry should do urgently.
 
"We know that new drugs and vaccines are very expensive [to develop], but if you take these costs into consideration, then everything is justified," said Roland Diel, a health economics professor at Germany's University Hospital Schleswig-Holstein in Kiel, who led the study.
 
The emergence of strains of that can't be treated with even the most powerful of drugs has turned TB into one of the world's most pressing health problems.
 
According to the World Health Organization (WHO), TB infected 8.7 million people worldwide in 2011 and killed 1.4 million. As many as two million people may have drug-resistant strains by 2015, the Geneva-based health agency says.
 
Treating even typical TB is a long process. Patients need to take a cocktail of antibiotics for six months and many fail to complete the treatment. That, alongside overuse and misuse of antibiotics, has fuelled the emergence of multidrug-resistant TB (MDR-TB) and extensively drug resistant (XDR-TB).
 
For this study, published online in the European Respiratory Journal on Friday and the first of its kind, researchers used a systematic review of literature and institutional websites for the 27 EU member states to summarize data on TB treatment costs in 2011.
 
They split the countries into two groups based on gross domestic product (GDP) per person.
 
For the old EU 15 countries plus Cyprus, Malta and Slovenia, the average direct cost per case of typical TB was 10,282 euros ($13,600), but was more than 57,200 euros for MDR cases and more than 170,700 euros for XDR cases. For the remaining EU states, average costs were 3,427 euros for standard treatable TB and around 24,100 euros for drug-resistant cases.
 
The total treatment cost of all TB cases in 2011 was 536,890,315 euros ($712.26 million).
 
While the number of drug-resistant TB cases in Europe is currently only a tiny fraction of the total of around 70,000 cases per year, Diel said that would swiftly change.
 
"It's a time bomb in terms of drug-resistant cases," he said in a telephone interview. "They are just a small fraction right now, but that will increase... so the costs will also rise."
 
Beyond the direct costs, Diel's team also calculated TB's impact in terms of the monetary value of lost productivity.
 
Using disability-adjusted life years, or DALYs — a measure of disease burden that looks at the number of years lost due to ill-health, disability or early death — they found the total years lost was 103,104 in 2011. In monetary terms, this amounted to more than 5.3 billion euros.
 
Diel said this was the figure that shocked him the most.
 
"People assume that in most parts of Europe, TB doesn't play much of a role in comparison to other diseases. But, in fact, the costs of it are very high," he said. "It's billions, and nobody realized that before."
 
Responding to the findings, Francesco Blasi, President of the European Respiratory Society, said they showed the huge burden of TB on both the economy and on society in Europe.
 
"It is critical that healthcare professionals and policymakers take note," he said in a statement.

You May Like

Philippines, Muslim Rebels Try to Salvage Peace Pact

Peace process faces major setback after botched military operation to find terrorists results in bloody gunbattle between government forces, Moro Islamic Liberation Front fighters More

Republicans Expect Long, Expensive Presidential Battle

Political strategist says eventual winner will be one who can put together strongest coalition of various conservative groups that make up Republican Party More

Video New Wheelchair Is Easier to Use, Increases Mobility

Engineers have come up with a lever-operated design that makes use of easily accessible bicycle technology More

This forum has been closed.
Comments
     
There are no comments in this forum. Be first and add one

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Liberia's Almost Last Ebola Patient Grateful but Still Grievingi
X
Benno Muchler
March 26, 2015 3:41 PM
Beatrice Yardolo was to make history as Liberia’s last Ebola patient. Liberians recently started counting down 42 days, the period that has to go by without a single new infection until the World Health Organization can declare a country Ebola-free. That countdown stopped on March 20 when there was another new case of Ebola, making Yardolo’s story a reminder that Ebola is far from over. Benno Muchler reports from Monrovia.
Video

Video Liberia's Almost Last Ebola Patient Grateful but Still Grieving

Beatrice Yardolo was to make history as Liberia’s last Ebola patient. Liberians recently started counting down 42 days, the period that has to go by without a single new infection until the World Health Organization can declare a country Ebola-free. That countdown stopped on March 20 when there was another new case of Ebola, making Yardolo’s story a reminder that Ebola is far from over. Benno Muchler reports from Monrovia.
Video

Video Cambodian Land Grabs Threaten Traditional Communities

Indigenous communities in Cambodia's Ratanakiri province say the government’s economic land concession policy is taking away their land and traditional way of life, making many fear that their identity will soon be lost. Local authorities, though, have denied this is the case. VOA's Say Mony went to investigate and filed this report, narrated by Colin Lovett.
Video

Video US, South Korea Conduct Joint Military Exercises

The Eighth U.S. Army Division and the Eighth Republic of Korea Mechanized Infantry Division put on a well orchestrated show of force for the media this week during their joint military training exercises in South Korea. VOA’s Seoul correspondent Brian Padden was there and reports the soldiers were well disciplined both in conducting a complex live fire exercise and in staying on message with the press.
Video

Video Space Program Status Disappoints 'Last Man on the Moon'

One of the films that drew big crowds last week at the annual South by Southwest festival in Austin, Texas, tells the story of the last human being to stand on the moon, U.S. astronaut Eugene Cernan. It has been 42 years since Cernan returned from the moon and he laments that no one else has gone there since. VOA’s Greg Flakus reports.
Video

Video Young Filmmakers Shine Spotlight on Giving Back

A group of student filmmakers from across the United States joined President Barack Obama at the White House this month for the second annual White House Student Film Festival. Fifteen short films were officially selected from more than 1,500 entries by students aged 6 through 18. The filmmakers and their families then joined the president and a group of celebrities for a screening of their films. VOA’s Julie Taboh reports.
Video

Video VOA Exclusive: Interview with Afghan President Ashraf Ghani

Afghan President Ashraf Ghani, during his first visit as president to Washington, gave a one-on-one interview with VOA Afghan Service reporter Said Suleiman Ashna, about his request for a change in U.S. troop levels, the threat from the Islamic State, and repairing relations with the United States and Pakistan. The interview was held at Blair House, late Sunday, in Pashto.
Video

Video California Science Center Tells Story of Dead Sea Scrolls

The ancient manuscripts were uncovered in the mid-20th century, and they are still yielding clues about life and religious beliefs in ancient Israel. As VOA's Mike O'Sullivan reports, an exhibit in Los Angeles shows how modern science is bringing the history of these ancient documents to life.
Video

Video Angelina Jolie Takes Another Bold Step

Hollywood actress and filmmaker Angelina Jolie has revealed she had her ovaries and fallopian tubes removed to lower her odds of getting cancer. Doctors say the huge publicity over her decision will help raise awareness about the importance of cancer screening. VOA’s George Putic has more

All About America

Circumventing Censorship

An Internet Primer for Healthy Web Habits

As surveillance and censoring technologies advance, so, too, do new tools for your computer or mobile device that help protect your privacy and break through Internet censorship.
More